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As a result, metformin patients often suffer from B12 deficiency and diabetic neuropathy (61-63)
Gastric or bariatric surgery : Patients who have undergone weight loss surgeries such as gastric or bariatric surgery may experience B12 deficiency due to the unavailability of intrinsic factor after gastric or intestinal resection
But for most researchers, following strict storage protocols and adhering to shelf-life guidelines is the more practical approach
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